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Workers' compensation claims adjuster vs insurance examiner

The differences between workerss' compensation claims adjuster and insurance examiners can be seen in a few details. Each job has different responsibilities and duties. It typically takes 2-4 years to become both a workers' compensation claims adjuster and an insurance examiner. Additionally, a workers' compensation claims adjuster has an average salary of $57,583, which is higher than the $50,967 average annual salary of an insurance examiner.

The top three skills for a workers' compensation claims adjuster include customer service, claim process and compensation benefits. The most important skills for an insurance examiner are EKG, financial statements, and blood pressure.

Workers' compensation claims adjuster vs insurance examiner overview

Workers' Compensation Claims AdjusterInsurance Examiner
Yearly salary$57,583$50,967
Hourly rate$27.68$24.50
Growth rate-6%-6%
Number of jobs16,50639,601
Job satisfaction--
Most common degreeBachelor's Degree, 63%Bachelor's Degree, 46%
Average age4444
Years of experience44

What does a workers' compensation claims adjuster do?

A worker's compensation claims adjuster is responsible for analyzing and validating compensation claims, ensuring eligibility and accuracy to authorize payments. Their responsibilities also include coordinating with different departments to gather data, liaising with internal and external parties, determining the amount of compensation, and negotiating claims. Furthermore, a worker's compensation claims adjuster may also perform administrative support tasks such as preparing progress reports and other documentation, answering calls and inquiries, maintaining records of all transactions, and training new members of the workforce.

What does an insurance examiner do?

A claims examiner is responsible for conducting a claim review of a client against a particular insurance company--usually a health and life insurance company. An examiner must review claims and then approve them, reject them, or develop a possible settlement. They need to communicate with policyholders and insurance agents to assess if all the information under the company's claims guidelines and policies are correct and accurate.

Workers' compensation claims adjuster vs insurance examiner salary

Workerss' compensation claims adjuster and insurance examiners have different pay scales, as shown below.

Workers' Compensation Claims AdjusterInsurance Examiner
Average salary$57,583$50,967
Salary rangeBetween $40,000 And $82,000Between $34,000 And $76,000
Highest paying CitySacramento, CAFarmington, CT
Highest paying stateRhode IslandRhode Island
Best paying companyThe Travelers CompaniesRSM US
Best paying industryFinanceHealth Care

Differences between workers' compensation claims adjuster and insurance examiner education

There are a few differences between a workers' compensation claims adjuster and an insurance examiner in terms of educational background:

Workers' Compensation Claims AdjusterInsurance Examiner
Most common degreeBachelor's Degree, 63%Bachelor's Degree, 46%
Most common majorBusinessBusiness
Most common collegeStanford UniversityUniversity of Pennsylvania

Workers' compensation claims adjuster vs insurance examiner demographics

Here are the differences between workerss' compensation claims adjuster' and insurance examiners' demographics:

Workers' Compensation Claims AdjusterInsurance Examiner
Average age4444
Gender ratioMale, 27.4% Female, 72.6%Male, 24.1% Female, 75.9%
Race ratioBlack or African American, 11.0% Unknown, 4.4% Hispanic or Latino, 16.4% Asian, 5.1% White, 62.6% American Indian and Alaska Native, 0.5%Black or African American, 12.3% Unknown, 4.5% Hispanic or Latino, 15.7% Asian, 6.0% White, 61.0% American Indian and Alaska Native, 0.5%
LGBT Percentage10%10%

Differences between workers' compensation claims adjuster and insurance examiner duties and responsibilities

Workers' compensation claims adjuster example responsibilities.

  • Manage OSHA logs and insure ongoing awareness for warehouse safety and risk management guidelines
  • Manage litigation, pay timely compensation, file necessary state forms timely, negotiate appropriate settlements within company assign authority.
  • Adjust complex workers' compensation claims, which include litigation management, vocational rehabilitation, medical management, and reserving practices.
  • Coordinate all medical and vocational rehabilitation services.
  • Coordinate all provide medical and vocational rehabilitation services to the catastrophically injure worker.
  • Prepare claims for hearing process order DWC.
  • Show more

Insurance examiner example responsibilities.

  • Manage operating procedure and accounting systems for payroll, operating expenses, supplies and inventory management and commercial accounts.
  • Court / arbitration / litigation appearances.
  • Review the subpoenas records in court house.
  • Used audit software utilize at insure's site, with PAAS and GAAP.
  • Draw blood from veins by vacuum tube, syringe, or butterfly venipuncture methods.
  • Perform insurance exams in client's homes which including history and physicals and phlebotomy.
  • Show more

Workers' compensation claims adjuster vs insurance examiner skills

Common workers' compensation claims adjuster skills
  • Customer Service, 28%
  • Claim Process, 16%
  • Compensation Benefits, 12%
  • Settlement Authority, 9%
  • Data Entry, 4%
  • Litigation, 4%
Common insurance examiner skills
  • EKG, 14%
  • Financial Statements, 7%
  • Blood Pressure, 6%
  • Health History, 6%
  • Vital Signs, 6%
  • Naic, 6%

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